Good Sam

Previously on Good Sam...

I'm done fighting you for the boss.

I am outside. Hurting you was

a wake up call for me, Malcolm.

For what it's worth, I think you would have beaten him.

- What are you saying? - I love you.

Why does he sound like he's

transitioning to active work?

My new husband has some techniques

to help me deal with my old husband.

Your father has the middle of

Operation dropping an instrument.

The scalpel isn't the only thing he gets dropped.

I know about the headache

and the ringing in your ears.

Thank you for telling me about it.

Thanks for telling me about his symptoms.

There, in the bilateral hemispheres.

He has a few months, max.

That's a death sentence.

Are you okay?

Yes. It was... it was a dream.

Yes, a bad one. You're sweating.

Want to try laying down?

You know, I, uh, think I'm going in.

- What now? - Radiology said

By today they would have the results.

- Infant. - mmm

Nobody will see your

results until at least 9:00 am.

Well I'll be there when they do.

Look, it's still dark outside.

Come on, go back to bed.

Come on.

Or we go in.

I got your sms.

You been here all night?

yes

dr Osmond just walked in.

You are now reviewing the results.

- In order. - Well, he, uh,

wants to hear himself first.

Why don't you just go to radiology?

He didn't want to arouse suspicion.

Dr. Griffith.

I think it's a bit late for that now.

Mrs. Kingsley. What can I do for you?

I was hoping we could talk.

Maybe in your office?

Uh, my office is busy.

My father borrows it for a meeting.

- Lend? - Yes.

Well, technically I'm borrowing it from

him as it was his office in the first place

and will be again when reinstated.

When he is reinstated.

Ah. What is it?

Applicants for the chief post.

It's a very competitive list.

Thought you'd like to take a look in case

a particular candidate caught your eye.

I will put my full support behind my father.

So you won't even look at it?

No. He's the right boss for this department.

Provided he passes all remaining exams.

Naturally.

Good day doctors.

- Thanks. You too. - mmm

- Oh. - Oh.

Well what did he say?

He, uh... says it's nothing.

No tumor, no inflammation,

no discernible abnormality.

Well, that's good news.

Depends how you look at it.

Dad, that's a relief.

It would be if it magically made my symptoms go away.

I still get ringing in my ears and I'm blinded by the light.

Have a headache. Whatever it is, it's not nothing.

Okay, but it's not a brain tumor either.

Black mold, gas leaks, poisonous snakes.

- Many, many types of cancer. - What does he do?

He lists things that aren't

brain tumors but will still kill you.

We'll find out what that is.

- And how to treat it. - Exactly.

We must exhaust all possibilities

- as you always say. - You always say that.

To the residents.

We're not running a differential here.

Maybe we should be.

All right, who's ready for

some medical education?

- CME for breakfast. Good. - You know it.

Today's hypothetical

Patient is male, late 50s.

He suffers from acute headaches,

Photophobia, metallic

taste and ringing in the ears.

The onset of symptoms was

sudden and simultaneous. Walk.

Is the tinnitus unilateral or bilateral?

It's unilateral on the right ear.

Does he have other vascular problems?

- Not that we know of. - Why do you ask?

Tinnitus is the perception of sounds where there is no

sound or an internal sound caused by abnormal blood flow.

The comorbid headache suggests that the problem is structural.

Like a brainstem lesion

- or cerebellum maybe. - The brain scans were clear.

Well, what about his HPA profile?

Adrenal Fatigue can be anything from

cause insomnia to hair loss.

That would explain the photosensitivity.

Doesn't explain the metallic taste.

Perhaps the connection is the central nervous system.

MS, or Bell's palsy, is known to affect the sense of taste.

Or it's just a virus or a

side effect of a drug.

Or bad breath.

So the patient is old and has bad breath.

Is that the differential?

He also gets nightmares.

You know, I got stressed out last night

chalked up waiting for his MRI results.

But it's not an isolated case.

nightmares, insomnia.

Interrupted REM cycles.

What if it's a different symptom?

I would need to know more about his typical

sleep patterns before I could judge an anomaly.

Light. I'll start tracking it. I'm with him every night.

- We're sorry. I know it's... - No, it's...

I'm glad you told me.

If you're with him, you can help

us figure out what's going on here,

then that's fine.

At least it's better than a brain tumor.

Oh Donna.

Ah, Sally Rittenberg.

The August heart transplant.

Oh I love a good thank you basket.

I love a bougie designer candle.

Put it down, Dr. Costa.

You know how it works.

- You want it, you have to win it. Mm-hmm.

How many tongue depressors in the jar?

play dr Griffith?

There is a gift certificate for a couples massage.

Ah, well, thanks Donna, but I

think this should go to a member

a real couple.

- Totally agree about. - Mm-hmm.

Oh, so, uh, you and

Malcolm didn't work out?

No.

We're sorry.

- No you are not. - In order,

well, I'm not, but it's...

It is not about me. I will keep my feelings to myself.

- I appreciate the honesty. - For real?

But that doesn't mean I'm, you know, ready...

Oh no, I didn't assume...

Yes, because, you know, what we have works

- and we don't want to... - No, we don't want to.

No we wouldn't. Same side.

- I'm glad we talked about it. - Me too.

Round.

Yes.

Thanks. Hello.

Everyone, this is Amy Taylor.

She suffers from drowsiness

shortness of breath and nausea.

Yes, my doctor says I need a bypass.

Well, given your angiogram, I tend to agree.

All of these are common symptoms of coronary artery disease.

Is there a family history of heart disease that you know of?

No, but if you shake my family tree, bottles fall out.

Including me.

She has been sober for three years.

- Three years sober, that's impressive. - Thanks.

Yes, well, I put my sister through so much

before I stopped still drinking Gretchen

- a breathalyzer in her purse. - Stop it.

This is just a reminder of how lucky I am

- that you are sober. - Thank you sister.

I'm sick.

Oh, well, surgery should relieve your symptoms...

- No, I mean now, I... - Headache...

- I'm sick - Oh! oh sweetie

Let's put her on a drip of pantoprazole and

have her crossed and typed for two units of blood.

- Oh, here we go again. - Has this happened before?

I will be Markov in G.I.

Why? I thought you said nausea was a common symptom.

Narrowed arteries do not allow

blood to enter the G.I. tract.

Yeah, whatever it is,

heart surgery isn't going to fix it.

you wanted to see me